CPT® Code 32851

A lung transplant is a surgical procedure that involves the replacement of a diseased or damaged lung with a healthy lung from a donor. Specifically, a single lung transplant refers to the transplantation of one lung, which is typically performed when one lung is severely compromised while the other lung remains functional. The procedure is conducted through an incision in the thorax, allowing the surgeon to access the lung directly. The incision is usually made in the fourth or fifth intercostal space, and in some cases, the fifth rib may be excised to improve access to the lung. This operation is performed without the use of cardiopulmonary bypass, which means that the patient's heart and lungs continue to function normally during the surgery. The surgeon removes the lung with the poorest pulmonary function and replaces it with the donor lung, which is then carefully connected to the recipient's bronchial and vascular structures. Various techniques may be employed during the transplant, particularly in the anastomosis of the bronchus, pulmonary artery, and pulmonary vein, which can be performed in different sequences based on the surgeon's preference and the specific circumstances of the transplant. The procedure requires meticulous attention to detail to ensure proper healing and function of the transplanted lung.